家庭弹性评估量表在脑卒中患者中的修订及信效度检验  

Revision of the family resilience assessment scale in patients with stroke and its reliability and validity test

作　　者：杨丽娜 钱英[1] 叶安琪 杨民君 周祎祎 Yang Lina;Qian Ying;Ye Anqi;Yang Minjun;Zhou Yiyi(School of Nursing,Hangzhou Normal University,Hangzhou 311121,China)

机构地区：[1]杭州师范大学护理学院,杭州311121

出　　处：《中华行为医学与脑科学杂志》2023年第10期945-950,共6页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的将家庭弹性评估量表(family resilience assessment scale,FRAS)在脑卒中患者中进行修订,并评价其测量学性能和适用性。方法获得授权后将FRAS翻译成中文,基于13例脑卒中患者、11例照顾者的访谈结果和20名相关领域专家的意见对量表条目进行修订。于2022年6—11月,采用便利抽样法对杭州市2所三级医院的神经内科、神经外科脑卒中患者进行两次抽样,第一次发放问卷325份(样本1),用于项目分析和探索性因子分析;第二次发放285份(样本2),用于验证性因子分析、效标效度及信度检验。采用SPSS 26.0和AMOS 24.0进行数据分析。结果探索性因子分析提取6个因子(分别为家庭信念、家庭精神、家庭联结、家庭资源、家庭沟通、家庭协作),共32个条目,验证性因子分析结果显示模型拟合度良好(χ^(2)/df=2.67,RMSEA=0.025,CFI=0.98,GFI=0.90,IFI=0.98,RMR=0.031)。总量表Cronbach'sα系数为0.96,各维度Cronbach'sα系数为0.82~0.92;2周重测信度为0.99;量表总分与效标(家庭复原力量表)呈正相关(r=0.882,P<0.001)。结论脑卒中患者家庭弹性评估量表具有良好的信效度,可用于评估脑卒中患者家庭弹性。Objective To revise the family resilience assessment scale(FRAS)in patients with stroke and to evaluate its psychometric properties and applicability.Methods FRAS was authorized and translated into Chinese.The scale items were revised based on the interview results of 13 patients with stroke and 11 caregivers and the opinions of 20 experts in related fields.A convenience sampling method was used to sample neurology and neurosurgery inpatients from 2 tertiary hospitals in Hangzhou twice from June to November 2022,with 325 questionnaires(sample 1)distributed the first time for item analysis and exploratory factor analysis,and 285 questionnaires(sample 2)distributed the second time for confirmatory factor analysis,criterion validity and reliability test.Data analysis was conducted by SPSS 26.0 and AMOS 24.0.Results The exploratory factor analysis extracted 6 common factors(family beliefs,family spirit,family connection,family resources,family communication,family collaboration)with 32 items.Confirmatory factor analysis showed that the model fit well(χ^(2)/df=2.67,RMSEA=0.025,CFI=0.98,GFI=0.90,IFI=0.98,RMR=0.031).The cronbach'sαcoefficient of the total scale was 0.96,and 0.82-0.92 for the dimensions.The 2-week retest reliability was 0.99.The total scale score was positively correlated with the validity scale(family resilience scale)(r=0.882,P<0.001).Conclusion The family resilience scale for patients with stroke has good reliability and validity and can be used to assess the family resilience of patients with stroke.

关 键 词：脑卒中 家庭弹性评估量表 信度 效度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]